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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<link rel="stylesheet" href="style/coun.css" />
<title>无标题文档</title>
</head>

<body>
<div class="accountbox">
<h2>账套名称</h2>
<div class="titbtn"><a href="#">增加</a><a href="#">删除</a><a href="#">修改</a><a href="#">放弃</a><a href="#">保存</a></div>
<div class="dateof">
<ul>
<li><label>日期</label><input type="text" value="" /></li>
<li><label>单据号</label><input type="text" value="" /></li>
<li><label>流水号</label><input type="text" value="" /></li>
<li><label>发票号</label><input type="text" value="发票号" /></li>
</ul>
</div>
<h3>收款单</h3>
<div class="customerName wrapbored">
 <ul>
  <li><label>顾客姓名</label><input type="text" value="" /></li>
  <li><label>手机号码</label><input type="text" value="" /></li>
  <li><label>办卡时间</label><input type="text" value="" /></li>
  <li><label>优惠活动</label><input type="text" value="" /></li>
  <li><label>会员单位</label><input type="text" value="" /></li>
  <li><label>预约金时间</label><input type="text" value="" /></li>
  <li><label>出库单</label><select><option>有</option><option>无</option></select></li>
  <li><label>发票抬头</label><input type="text" value="" /></li>
 </ul>
</div>
<div class="scenebox wrapbored">
 <table cellpadding="0" cellspacing="0">
 <tr>
 <td width="12%">1</td>
 <td width="15%">现场咨询</td>
 <td width="15%">电话咨询</td>
 <td width="15%">网络咨询</td>
 <td width="15%">市场部</td>
 <td width="15%">门诊护士</td>
 <td width="15%">其它部分人员</td>
 </tr>
  <tr>
 <td></td>
 <td></td>
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 <td></td>
 </tr>
 </table>
</div>
<div class="scenebox wrapbored">
<div class="deletebtn"><input type="button" value="删除" /><input type="button" value="增行" /></div>
 <table cellpadding="0" cellspacing="0">
 <tr>
 <td width="5%">序号</td>
 <td width="8%">消费大类</td>
 <td width="8%">项目</td>
 <td width="8%">明细</td>
 <td width="8%">手术医师</td>
 <td width="8%">配合医师</td>
 <td width="8%">非手术医师</td>
 <td width="8%">医师助理</td>
 <td width="8%">标价</td>
 <td width="8%">数量</td>
 <td width="8%">折扣</td>
 <td width="8%">折后价格</td>
 <td>备注</td>
 </tr>
  <tr>
 <td>1</td>
 <td><select style="border:none 0; padding:0px;"><option>消费大类</option></select></td>
 <td></td>
 <td></td>
 <td></td>
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 <td></td>
  <td></td>
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 </tr>
  <tr>
 <td>1</td>
 <td><select style="border:none 0; padding:0px;"><option>消费大类</option></select></td>
 <td></td>
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  <td></td>
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 </tr>
  <tr>
 <td>1</td>
 <td><select style="border:none 0; padding:0px;"><option>消费大类</option></select></td>
 <td></td>
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 </tr>
  <tr>
 <td>1</td>
 <td><select style="border:none 0; padding:0px;"><option>消费大类</option></select></td>
 <td></td>
 <td></td>
 <td></td>
 <td></td>
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  <td></td>
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 </tr>
 </table>
 <div class="combined"><label>合计</label><input type="text" value="" /></div>
</div>
<div class="deletebox wrapbored">
 <div class="deletebtn brot" ><input type="button" value="删除" /><input type="button" value="增行" /></div>
 <table  cellpadding="0" cellspacing="0">
  <tr>
   <td>序号</td>
   <td>结算方式</td>
   <td>明细</td>
   <td>收款方式</td>
  </tr>
  <tr>
   <td></td>
   <td><select style="border:none 0;"><option>结算方式</option><option>结算方式</option></select></td>
   <td>银行名</td>
   <td></td>
  </tr>
    <tr>
   <td></td>
   <td><select style="border:none 0;"><option>结算方式</option><option>结算方式</option></select></td>
   <td>卡明细</td>
   <td></td>
  </tr>
   <tr>
   <td></td>
   <td><select style="border:none 0;"><option>结算方式</option><option>结算方式</option></select></td>
   <td></td>
   <td></td>
  </tr>
  </table>
</div>
<div class="deletebox wrapbored">
 <div class="deletebtn brot" ><input type="button" value="删除" /><input type="button" value="增行" /></div>
 <table  cellpadding="0" cellspacing="0">
  <tr>
   <td>序号</td>
   <td><select style="border:none 0;"><option>其它应收</option><option>其它应付</option></select></td>
   <td>所属公司</td>
  </tr>
  <tr>
   <td></td>
   <td></td>
   <td></td>
  </tr>
   <tr>
   <td></td>
   <td></td>
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  </tr>
   <tr>
   <td></td>
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  </tr>
  </table>
</div>
<div class="botbox">操作 <input type="text" value="" />日期<input type="text" value="" />
</div>
</div>
</body>
</html>
